Healthcare Provider Details
I. General information
NPI: 1851359319
Provider Name (Legal Business Name): NEVADA SLEEP DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7455 ARROYO CROSSING PKWY STE 220
LAS VEGAS NV
89113-4088
US
IV. Provider business mailing address
7455 ARROYO CROSSING PKWY STE 220
LAS VEGAS NV
89113-4088
US
V. Phone/Fax
- Phone: 702-990-7660
- Fax: 702-990-7665
- Phone: 702-990-7660
- Fax: 702-990-7665
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
H
LABANOWSKI
Title or Position: COO CFO
Credential: CPA
Phone: 702-990-7660